Individual
HALEY BORGAILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 N 75TH ST # NE, LINCOLN, NE 68507-2142
(712) 828-1721
Mailing address
157 S HOWARD ST STE 310, SPOKANE, WA 99201-4421
(509) 494-9191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-203669
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-203669
RBT
NE
Enumeration date
03/30/2022
Last updated
03/30/2022
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